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Mechanisms of Fasting Induced Reduction in Energy Expenditure

Mechanisms of Fasting Induced Reduction in Energy Expenditure - FIRE Trial

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06134258
Acronym
FIRE
Enrollment
40
Registered
2023-11-18
Start date
2023-11-15
Completion date
2026-04-18
Last updated
2025-05-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fasting

Keywords

Thermogenesis

Brief summary

Fasting reduces the energy consumption of the human body. The extent of this adaptation varies significantly between different individuals. The aim of this research project is to investigate how this adaptation of the metabolism is regulated by the body. For this purpose, we will first measure how the so-called basal metabolic rate of the body reacts to a short-term fasting of 24 h in a preliminary study. Those subjects with a particularly pronounced and those subjects with an only slightly pronounced reaction of the basal metabolic rate will be invited to the main study. Here, in random order (24 h fasting vs. 8 h fasting), the following is compared * how the basal metabolic rate of the body reacts to the reduced energy intake. * how the energy metabolism increases after a test meal * what role in particular the thyroid hormones play in this adaptation. In addition, a sample of the subcutaneous adipose tissue is taken in each case and it is examined how the regulation of metabolic processes at the cellular level.

Detailed description

The extent of this adaptation varies significantly between different individuals. The aim of this research project is to investigate how this adaptation of the metabolism is regulated by the body. For this purpose, we will first measure how the so-called basal metabolic rate of the body reacts to a short-term fasting of 24 h in a preliminary study. Those subjects with a particularly pronounced and those subjects with an only slightly pronounced reaction of the basal metabolic rate will be invited to the main study.

Interventions

mixed meal test after fasting

Sponsors

University Hospital, Basel, Switzerland
CollaboratorOTHER
ETH Zurich
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Intervention model description

randomized, open label, cross-over, monocentric trial in healthy volunteers

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Age: 18 to 40 years * Body mass index 18.0 to 27.0 kg/m² *

Exclusion criteria

* Chronic conditions necessitating medical treatment (e.g., renal failure, hepatic dysfunction, cardiovascular disease, diabetes mellitus), * Known or suspected non-compliance, drug or alcohol abuse, * Inability to follow the procedures of the study * Participation in another study with investigational drug within the 30 days preceding and during the present study, * Previous enrolment into the current study, * Enrolment of the investigator, his/her family members, employees and other dependent persons, * Hypothyroidism or hyperthyroidism * Pregnant, breastfeeding and menopausal women

Design outcomes

Primary

MeasureTime frameDescription
change of energy expenditure (EE) determined by indirect calorimetry (kcal per 24h)60 minutes after ingestion of test mealDifference of EE (determined by indirect calorimetry) between baseline and 60 minutes after ingestion of the liquid test meal. Both measurements will be performed after an overnight fasting period.

Secondary

MeasureTime frameDescription
Level of free thyroxineafter 24 hours and after 12 hours of fastingThe thyroid hormone (TH) system is an important regulator of EE. We hypothesize that levels of TH are higher in the spendthrift than in the thrifty group.
Level of free triiodothyronineafter 24 hours and after 12 hours of fastingThe thyroid hormone (TH) system is an important regulator of EE. We hypothesize that levels of TH are higher in the spendthrift than in the thrifty group.
Respiratory quotient (RQ)after 24 hours and after 12 hours of fastingWe hypothesize that the participants in the thrifty group have a lower proportion of fatty acid metabolism and therefore a higher RQ.

Countries

Switzerland

Contacts

Primary ContactMatthias Betz
matthias.betz@usb.ch0041 61 265 2525
Backup ContactRahel Loeliger
Rahel.Loeliger@usb.ch0041 61 265 2525

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026